NPIMap

Individual provider Active NPI

Jamie Jo Clayton, PT

  • Specialist
  • Bloomfield Hills, MI
National Provider Identifier
1063509933
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5501011924 Issued in MI
Practice address
799 Denison Court
2ND Floor
Bloomfield Hills, MI 48302-0301
Phone
(248) 630-4333
Fax
(248) 630-4388
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501011924 MI
Specialist 174400000X 5501011924 MI Primary

Addresses

Primary practice location

799 Denison Court
2ND Floor
Bloomfield Hills, MI 48302-0301

Mailing address

799 Denison Court
2ND Floor
Bloomfield Hills, MI 48302-0301
Phone (248) 630-4333

Other identifiers 1

IdentifierTypeStateIssuer
650F333640OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Jamie Johnson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501011924MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clayton Physical Therapy and Wellness, PLLC Physical Therapist Current Accepting new patients
Core Physical Therapy & Sports Performance PLLC Physical Therapist PastSince Dec 13, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1063509933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 DENISON COURT",
            "address_2": "2ND FLOOR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020301",
            "telephone_number": "248-630-4333",
            "fax_number": "248-630-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 DENISON COURT",
            "address_2": "2ND FLOOR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020301",
            "telephone_number": "248-630-4333",
            "fax_number": "248-630-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "JAMIE",
        "middle_name": "JO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011924",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "5501011924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "650F333640",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "JOHNSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.